The Free Press, Mankato, MN

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State, national news

July 16, 2013

New trend in nursing home care -- fewer drugs, more personalized attention

HACKENSACK N.J. — Josephine Chalupa had the shower cap on — never a good sign. It meant she was on a tear, hating anyone and anything that crossed her path at the nursing home in Norwood, N.J., where she lived.

She made a nasty comment about a visitor’s shoes and shouted when anyone sat next to her. She demanded someone pull a tooth that was giving her so much trouble. She pinned a supervisor against the wall with her walker so she could yell at him about how much she hated the food.

“There was a lot of rage,” said her daughter, Christin Chalupa. “She was always yelling and screaming, just hating life in general.”

Chalupa, 91, was suffering from serious side effects of a fistful of drugs, her daughter said, including an antipsychotic medication that nursing home patients are frequently given by overworked staff to make them docile.

Today, Chalupa is friendly and social. She participates in activities, chats with relatives and is polite to the staff, her daughter said. The dramatic change came when the nursing home weaned her off the medications and, rather than drugging her when she became agitated, found other ways to keep her calm.

Josephine Chalupa may well be the personification of a new trend in nursing home care — fewer drugs and more personalized attention.

Across the nation, nursing home patients like Chalupa are frequently being drugged with antipsychotics to make them easier to control. While the drugs caused Chalupa to become agitated, they generally make patients less demanding. Often, loved ones find them slumped in wheelchairs, unaware of their surroundings and barely able to speak.

“It’s a very prevalent problem — a form of chemical restraint,” said Robyn Grant, director of public policy at the National Consumer Voice for Quality Long-Term Care, a patient advocacy group. “These drugs turn people into zombies and families are saying their loved one doesn’t even recognize them.”

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